IPACHTE# 15 -6r -301i"114 Harnett County Department of Public Health 28533
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�^ PROPERTY LOCATION: 41 -14-14-31 )
ISSUED TO: \<r ----se �trrnlr C. SUBDIVISION LOT #
NEW REPAIR � EX!'pNSION ❑
Type of Structure: 5�0 S) xS0 /
Proposed Wastewater System Te: a 5 �� UCK T .3"
Projected Daily Flow: ago GPD
Number of bedrooms: 2> Number of Occupants: max
Basement []Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes to ❑ May be required based on final location and elevations of faciiloes
Type of Water Supply: ❑ Community bK Public ❑ Well Distance from well k00 feet Permit valid for. Five years
Permit conditions: ❑ o expiration
Authorized State Agent: 2!!!Date: i )S LS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss f other permits. The permit holder respo ible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improv Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit?
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: "NrarJ N j Ct�mmTsv a s PROPERTY LOCATION: N-1 -r7 4
SUBDIVISION LOT #
Facility Type: Q5 ) S o) New ❑ Expansion ❑ Repair
Basement?. ❑ Yes �!I, No Basement Fixt1umees? ❑ Yes XNo
Type of Wastewater System** a'S'lo 0'J SyszCs'� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)f�L/
S°L o ) oar (Repair)
Installation Requirements/(onditions Number of trenches 3
Septic Tank Size S o o O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 5Q feet
Trenches shall be installed on contour at a
Maximum Trench Depth of:a' � inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spadng: Feet on Center
Soil Cover. 1.1- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different ImIn the type specded on the app/icadon. / accept the rpec*21ionr of this permit.
Date:
This Construction Authorization is su ' ahon if the site pl lot or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is ubiettlt,4ompliance wi 'mss o\Mo. as and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Date:
Date:
NTE# S —3G cVA \o Permit # Q-:� 5 33
Harnett County Department of Public Health
Site Sketeb
PROPERTY LOCATON:
ISSUED TO: v4 1-4 f -5 SUBDIVISION LOT #
Authorized State Agent: uvW Touwy Dater S
USIA
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility.) LFA% Design Flow (.1949): 34 U d
Location of Site: Property Recorded:
WaterSupply:NPublic❑ Individual C] Well
Evaluation Method: �AugItBo�'ng E] Pit ❑ Cut
Type of Wastewater: sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Mr
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(1n.)
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Volar
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
SLS
5
\j%,
Ito
s6y_
55AW
J
1C_r3j,)
�B_Y,<Ztx.
��5'�'�NQ
�gyCt/-7�J9ny�
4rL1
y2 -'v
s��: C
•i-� �
V5
Initial I Repair System
Site Classification (.1948)5
Evaluated By:
Others Present: